View Prior Authorization Statistical Data

Prior Authorization Approval or Denial Statistics*

Prior authorization approval or denial statistics for the previous preceding calendar years for fully-insured members is available for review:

Medical Data History

• View Medical Prior Authorization Data for Jan-Dec 2023
• View Medical Prior Authorization Data for Jan-Dec 2022
  
• View Medical Prior Authorization Data for Jan-Dec 2021
• View Medical Prior Authorization Data for Jan-Dec 2020
• View Medical Prior Authorization Data for Jan-Dec 2019

Drugs Data History

• View Drugs Prior Authorization Data for Jan-Dec 2023
• View Drugs Prior Authorization Data for Jan-Dec 2022
• View Drug Prior Authorization Data for Jan-Dec 2021
• View Drugs Prior Authorization Data for Jan-Dec 2020
• View Drugs Prior Authorization Data for Jan-Dec 2019

Behavioral Data History

• View Behavioral Health Prior Authorization Data for Jan-Dec 2023
• View Behavioral Health Prior Authorization Data for Jan-Dec 2022
• View Behavioral Health Prior Authorization Data for Jan-Dec 2021
• View Behavioral Health Prior Authorization Data for Jan-Dec 2020
• View Behavioral Health Prior Authorization Data for Jan-Dec 2019

*Blue Cross and Blue Shield of Texas has a reporting cycle of a calendar year from January 1^st to December 31^st. Appeals outside the calendar year in review are not included. Note, some appeals may relate to denials reported in prior year reporting cycles.